Journal of Orthopedics & Rheumatology
Research Article
Pseudotumor Treated with Two-Stage Revision Due to Aggressive Osteolysis and Soft-Tissue Mass Following Metal on Metal Total Hip Arthroplasty
Yakkanti RR*, Nguyen D and Pretell-Mazzini J
Department of Orthopaedic Surgery, University of Miami, USA
*Address for Correspondence: Yakkanti RR, Department of Orthopaedic Surgery, University of Miami, Miller School of Medicine, 1611 NW 12th Ave #303, Miami, FL 33136, USA, Tel:
502-689-3127; E-mail: ramakanth.yakkanti@jhsmiami.org
Submission: 11 September 2020;
Accepted: 02 November 2020;
Published: 16 November 2020
Copyright: © 2020 Yakkanti RR, et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Introduction: This is a unique case of the largest reported pseudotumor in literature, treated with a custom acetabular component in conjunction with a total femur replacement.
Case: Patient is a 71-year-old male, with a large pseudotumor secondary to Metal on Metal total hip arthroplasty, who had chronic pain for 8 years prior to presentation. Imaging revealed extensive soft tissue mass and osteolysis. Patient underwent two-stage surgery, with 1st stage involving surgical debridement of pseudotumor and fixation of custom triflange acetabular component, 2nd stage involved a total
femur replacement.
Conclusion: This case demonstrates the evaluation and management of a large pseudotumor. A two-stage revision in complex pseudotumor cases, with complete revision of the implants and excision of the pseudotumor, to achieve clinical improvement and decrease complications is a viable option.